Author Question: The nurse should stop the infusion of terbutaline (Brethine) in a client being treated for premature ... (Read 70 times)

Ebrown · **on:** Jul 23, 2018

The nurse should stop the infusion of terbutaline (Brethine) in a client being treated for premature uterine contractions based on which assessment findings?

Standard Text: Select all that apply.
1. Heart rate 110
2. Premature ventricular contractions on electrocardiogram tracing
3. Serum potassium level 3.0 mg/dL
4. Cough and shortness of breath
5. Reduction in uterine contractions

Question 2

The nurse should question the use of medroxyprogesterone acetate (Provera) in a client who:

1. was hospitalized for depression 3 months ago.
2. has just been diagnosed with anemia.
3. was treated for acute bronchitis 2 weeks ago.
4. had a cyst removed from her kidney 6 months ago.

annierak · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3,4
Rationale 1: A serious adverse reaction to this medication is increased heart rate.
Rationale 2: Dysrhythmias are a serious adverse reaction to this medication.
Rationale 3: Hypokalemia is a serious adverse reaction to this medication.
Rationale 4: Pulmonary edema is a serious adverse reaction to this medication.
Rationale 5: Reduced uterine contractions are an expected effect of this medication.
Global Rationale: A serious adverse reaction to this medication is increased heart rate. Dysrhythmias are a serious adverse reaction to this medication. Hypokalemia is a serious adverse reaction to this medication. Pulmonary edema is a serious adverse reaction to this medication. Reduced uterine contractions are an expected effect of this medication.

Answer to Question 2

Correct Answer: 1
Rationale 1: Medroxyprogesterone should be used with caution in clients who have a history of depression; it should be discontinued at the first sign of depression.
Rationale 2: Anemia is not a contraindication to the use of medroxyprogesterone .
Rationale 3: Medroxyprogesterone is not contraindicated in clients with recent infections.
Rationale 4: Medroxyprogesterone is not contraindicated in a client who has had kidney surgery.
Global Rationale: Medroxyprogesterone should be used with caution in clients who have a history of depression; it should be discontinued at the first sign of depression. Anemia, recent infections, and kidney surgery are not contraindications to the use of medroxyprogesterone .